Peninsula Laser Eye Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PENINSULA LASER EYE OPTICAL

Practice address

1174 Castro St Ste 110
Mountain View, CA 94040-2572

Phone

(650) 961-0672

Fax

(650) 961-3637

NPI assigned

Dec 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel J Beers, M.D.

Title

Owner

Phone

(650) 961-2585

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1063927903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 CASTRO ST STE 110",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402572",
            "telephone_number": "650-961-0672",
            "fax_number": "650-961-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 CASTRO ST STE 110",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402572",
            "telephone_number": "650-961-0672",
            "fax_number": "650-961-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA LASER EYE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "BEERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-961-2585",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquise Peggs
• Peninsula Cardiovascular
• Peninsula Eye Surgery Center LLC
• Peninsula Gastroenterology Medical Group Inc
• Peninsula Laser Eye Medical Group, Inc
• Peninsula Wellness Centre
• Wendy Cristina Perdomo Pena, M.D.
• Dalia Perelman, RD
• Abdaly Perez
• Angelina Perez

• Eyewear Supplier in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.